Symptòmes cervicaux et remédes: Arret cervical! Pas a Pas (Manuels et cours t. 1) (French Edition)

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A large group of muscles in the cervical area, responsible for the movement of the head in all directions They applied Mechanical traction in a supine position by manually adjusted mechanical traction equipment, with a 10-second pull and 5-second rest for 10 minutes in a single session in group A. They used a traction force equal to 10-15% of the bodyweight from each patient and calculated prior to intervention. Kiray A, Arman C, Naderi S, Güvencer M, Korman E. Surgical Anatomy of the Cervical Sympathetic Trunk. Clin Anat. 2005;18(3):179-85. doi:10.1002/ca.20055 - Pubmed

Prospero homeobox 1 / vascular endothelial growth factor receptor 3 / lymphatic vessel endothelial hyaluronan receptor-1 /Podoplanin/ C-C motif chemokine ligand 21. Glossaire Home exercises and ergonomic evaluation play an important role in the rehabilitation of patients [21]. Evaluation can provide information regarding the activities and positions at work that may support the disease. Improvements were found in pain and pain intensity, pain quality scores and functional disability levels [21]

Lateral neck (vertebral) muscles

Myotomes are tested by asking patients to perform different movements which are associated with different spinal nerves because individual muscles can be a part of multiple myotomes where myotomes are made up of multiple muscles which can perform different actions. Specifically, the clinician performs the tests with resisted isometric contractions, and the joint being tested should be at the resting position, or near it. Muscle contractions should be held for at least 5 seconds. This will help pinpoint if specific spinal nerves are lesioned, diseased, or injured if the patient is unable to perform these movements fully. Dans le modèle du système glymphatique, les fluides interstitiels circuleraient des espaces périartériels vers les espaces périveineux, en suivant un gradient de pression décroissante. L’efflux de ces fluides se déverserait ensuite dans le LCR en empruntant l’espace sous-arachnoïdien. Il est donc nécessaire que le LCR soit, lui-même, renouvelé… mais comment est-il évacué de l’espace intracrânien ? Dans différentes espèces de vertébrés, plusieurs voies d’évacuation sont connues : les granulations arachnoidiennes, qui sont localisées le long du sinus veineux sagittal supérieur [ 23, 24] ; la plaque cribriforme olfactive, par les canaux lymphatiques de la muqueuse nasale ; et le long des gaines des nerfs crâniens, via les vaisseaux lymphatiques qui les longent [ 25, 26]. L’importance fonctionnelle de ces voies doit cependant faire l’objet d’une nouvelle évaluation. En effet, l’existence d’un réseau de vaisseaux lymphatiques intracrâniens, dont le rôle dans la recapture intracérébrale des macromolécules et des antigènes, ainsi que dans la circulation des cellules immunitaires, est désormais établi. Le système lymphatique méningé Patients with cervicobrachialgia are more susceptible to sensomotoric stimuli. Even more so on the side where they have complaints. Their detection thresholds are elevated in comparison with patients without cervicobrachialgia. There is a high prevalence that patients with cervicobrachialgia have poor postural control when compared with healthy patients [9]. Yokota H, Mukai H, Hattori S, Yamada K, Anzai Y, Uno T. MR Imaging of the Superior Cervical Ganglion and Inferior Ganglion of the Vagus Nerve: Structures That Can Mimic Pathologic Retropharyngeal Lymph Nodes. AJNR Am J Neuroradiol. 2018;39(1):170-6. doi:10.3174/ajnr.A5434 - Pubmed

Manipulative physiotherapy treatment involved a cervical lateral glide mobilization technique [21] [22] Alberto MD et al.Epidural Local Anesthetic Plus Corticosteroid for the Treatment of Cervical Brachial Radicular Pain: Single Injection Versus Continuous Infusion, Pasqualucci, Obliquus capitis superior, that arises from the transverse process of atlas and inserts on the occipital bone, between the superior and inferior nuchal lines. Performed a lateral translatory movement away from the involved side while minimizing gross cervical side flexion or rotation (Figure 1).40 This technique was aimed to move the structures around the nerve and has been described and analyzed in detail. Like cervical myotomes, lumbar and sacral myotomes can be tested with tendon reflexes if the patient is unconscious:The rectus capitis lateralis and rectus capitis anterior function to connect the occipital and atlas bones. They originate over the transverse process of C1 and insert onto the jugular processof the occipital bone. [6]They function to flex the head at the atlantooccipital joint when engaged bilaterally and laterally flex the head when engaged on one side. The muscle is innervated by the anterior rami of the spinal nerves C2-C6. Its blood supply stems from branches of the vertebral, inferior thyroid and ascending pharyngeal arteries. Sinnatamby, C. S., & Last, R. J. (2011). Last's anatomy: Regional and applied. (12th edition). Edinburgh: Churchill Livingstone. Tubbs R, Salter G, Wellons J, Oakes W. Blood Supply of the Human Cervical Sympathetic Chain and Ganglia. Eur J Morphol. 2002;40(5):283-8. doi:10.1076/ejom.40.5.283.28905 - Pubmed From these 2 therapies mechanical traction was more effective in managing the pain and disability than in the group who were treated with manual traction.

The suboccipital muscles are four small muscles found in the suboccipital region, deep to the semispinalis muscles. These are:Drake, R. L., Vogl, A. W. & Mitchell, A. W. M. (2015). Gray’s Anatomy for Students (3rd ed.). Philadelphia, PA: Churchill Livingstone.